Neurodiversity Workshop Interest Survey Form
Help us shape an inclusive and impactful neurodiversity workshop by sharing your interests and preferences.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
How did you hear about the Neurodiversity Workshop?
*
Social media
Friend or colleague
Organization or community group
Online search
Other
Which topics within neurodiversity are you most interested in?
*
Autism
ADHD
Dyslexia
Inclusive workplaces
Neurodiversity advocacy
Other
What is your preferred session format?
*
In-person
Virtual (live)
Hybrid
No preference
Which days are you generally available to attend?
*
Weekdays (Mon-Fri)
Weekends (Sat-Sun)
Evenings
Mornings
Have you attended a neurodiversity or similar workshop before?
*
Yes
No
How likely are you to attend the Neurodiversity Workshop if invited?
*
Not at all likely
1
2
3
4
Very likely
5
1 is Not at all likely, 5 is Very likely
What motivates your interest in this workshop?
Any specific topics, accommodations, or feedback you would like us to consider?
Submit
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